首页|循证护理在HOLEP患者术后下肢深静脉血栓预防中的应用效果及对术后康复的影响

循证护理在HOLEP患者术后下肢深静脉血栓预防中的应用效果及对术后康复的影响

Application effect of evidence-based nursing in the prevention of postoperative deep vein thrombosis of lower limbs in patients with HOLEP and its influence on postoperative rehabilitation

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目的 探讨循证护理在经尿道钬激光前列腺剜除术(HOLEP)患者术后下肢深静脉血栓(DVT)预防中的应用效果及对术后康复的影响.方法 选择2021年1月至2022年1 月于本院接受HOLEP治疗的60例前列腺增生(BPH)患者,通过随机数表法将其分为常规组(n=30,常规围术期护理)及循证护理组(n=30,循证护理).比较两组的护理效果.结果 循证护理组的首次排气时间、首次排便时间、导管拔除时间、首次下床时间及住院时间均短于常规组(P<0.05).循证护理组的并发症总发生率低于常规组(P<0.05).干预后,循证护理组的Caprini评分及视觉模拟评分法(VAS)评分低于常规组,良性前列腺增生患者生命质量测定量表(QLICD-BPH)评分高于常规组(P<0.05).结论 循证护理能够有效预防HOLEP患者术后下肢DVT,加速患者康复进程.
Objective To explore the application effect of evidence-based nursing in the prevention of postoperative deep vein thrombosis(DVT)of lower limbs in patients with transurethral holmium laser enucleation of prostate(HOLEP)and its influence on postoperative rehabilitation.Methods Sixty patients with benign prostatic hyperplasia(BPH)who received HOLEP treatment in our hospital from January 2021 to January 2022 were selected and divided into routine group(n=30,routine perioperative nursing)and evidence-based nursing group(n=30,evidence-based nursing)by random number table method.The nursing effects of the two groups were compared.Results The first exhaust time,first defecation time,catheter removal time,first ambulation time and hospitalization time of the evidence-based nursing group were shorter than those of the routine group(P<0.05).The total incidence of complications in the evidence-based nursing group was lower than that in the routine group(P<0.05).After intervention,the Caprini and Visual Analogue Scale(VAS)scores of the evidence-based nursing group were lower than those of the routine group,and the Quality of Life Instruments for Chronic Diseases-Benign Prostatic Hyperplasia(QLICD-BPH)score was higher than that of the routine group(P<0.05).Conclusion Evidence-based nursing can effectively prevent postoperative DVT of lower limbs in patients with HOLEP,and accelerate the recovery process of patients.

evidence-based nursingtransurethral holmium laser enucleation of prostatedeep vein thrombosis of lower limbs

何晓、张藕、谭允莹、贾甜甜、孟涛

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杨凌示范区医院,陕西 杨凌,712100

循证护理 经尿道钬激光前列腺剜除术 下肢深静脉血栓

陕西省卫生健康委员会卫生健康科研项目

2021E005

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(8)
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